Kristin E Leedom in Saginaw - Family

Kristin E Leedom - NPI 1619190808

Kristin E Leedom is a Family in Saginaw, Michigan. Kristin E Leedom practices all healthcare services and medical treatments related to Family. The NPI Number for Kristin E Leedom is 1619190808. The last update date is 2014-09-10.

Kristin E Leedom's current location address is 1447 N Harrison St, Saginaw, Michigan. You can contact this provider via phone number 9895834220 and fax number 9895834220. The mailing address for Kristin E Leedom is 1447 N Harrison St, Saginaw, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristin E Leedom
Address 1447 N Harrison St, Saginaw, Michigan
Phone Number 9895834220
Fax Number 9895834220
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1619190808
Provider Enumeration Date 2007-04-10
Last Updated Date 2014-09-10

Provider Mailing Address Detail

Address 1447 N Harrison St
City Saginaw
State Michigan (MI)
Post Code 486024727
Phone Number 9895834220
Fax Number 9895834220

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 4704200026
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5008701350 MI BLUE CROSS
4537150 MI --

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FAQs about Kristin E Leedom

What is the unique 10-digit identifier code issued to Kristin E Leedom by the Centers for Medicare & Medicaid Services?

The Kristin E Leedom has been assigned the NPI (National Provider Identifier) 1619190808 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kristin E Leedom is physically located?

The Kristin E Leedom is physically situated at the following address: 1447 N Harrison St, Saginaw, MI, 486024727.

What is the Kristin E Leedom's specialty and taxonomy code?

The Kristin E Leedom's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1619190808 to Kristin E Leedom?

The Kristin E Leedom received its 1619190808 assignment from the Centers for Medicare & Medicaid Services on 2007-04-10.

As of what date was the information pertaining to Kristin E Leedom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kristin E Leedom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-09-10.

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